A nurse's handbook of obstetrics, for use in training-schools . en artificial food while the process ofrepair is going on. The shield (Fig. 123) must be made scrupu-lously clean immediately before and after each nursing, and isto be boiled once daily. It must be applied to the nipple withthe utmost gentleness, and before the child is allowed to nurseenough milk to fill the glass part of the shield must be ex-pressed into it by massaging the breast for a few moments. Ifthis is neglected the infant will get little or no milk at all, while,on the other hand, he will suck in a quantity of air whic
A nurse's handbook of obstetrics, for use in training-schools . en artificial food while the process ofrepair is going on. The shield (Fig. 123) must be made scrupu-lously clean immediately before and after each nursing, and isto be boiled once daily. It must be applied to the nipple withthe utmost gentleness, and before the child is allowed to nurseenough milk to fill the glass part of the shield must be ex-pressed into it by massaging the breast for a few moments. Ifthis is neglected the infant will get little or no milk at all, while,on the other hand, he will suck in a quantity of air which willdistend his stomach and cause colic. The nipple shield must never be placed on the breast insuch a position that when suction begins the edges of the fissurewill be drawn apart, and in certain cases, such as fissure at thebase of the nipple, it will do more harm than good. The shield is always to be used with the greatest caution,and must at all times be kept in a perfectly aseptic the majority of fissures will, under proper treatment, heal. Fig. 122.—Massage of the breast. INFLAMMATION OF THE BREAST. 255 completely in twenty-four hours, it seldom happens that the useof the shield is necessary, and when, for any reason, it mustbe employed, it should be laid aside the moment that it can bedispensed with. If the nipples are in a healthy condition the mother shouldnever be allowed to use the shield merely to avoid the discomfortcaused by the suckling of a vigorous child. Mastitis (inflammation of the breast) may be of any grade,from a simple congestion to a suppurative process that resultsin the formation of multiple abscesses in the glandular tissue.
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